Freedom Village Health and Safety Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Description of Works

• Contact Phone and Email address of Site Supervisor

General Requirements

Planning

• Is the Site Safety Plan and documentation up-to-date?<br>

  Yes

  No

  N/A

• Have sub-contractors safety plans been approved?

  Yes

  No

  N/A

• Have the necessary work permits been issued by the main contractor?

  Yes

  No

  N/A

• Is there a current Hazard/Task Analysis Register/Site hazard board?

  Yes

  No

  N/A

• All significant hazards have have been identified and appropriate controls being followed.

  Yes

  No

  N/A

• The site hazard register incorporates contractor hazards?

  Yes

  No

  N/A

Site Management

• Is there a site layout diagram. Showing the location of safety equipment, emergency assembly points, first aid kits etc?

  Yes

  No

  N/A

• Is there evidence that regular contractor and sub-contractor audits are being carried out and recorded?

  Yes

  No

  N/A

• Are there records of regular Tool Box meetings, Pre-Start meetings that include H&S and are dated and signed?

  Yes

  No

  N/A

• SWMS are available for all high risk work and being followed?

  Yes

  No

  N/A

• Is there shade, water and other amenities for staff on site?

  Yes

  No

  N/A

• Are all lunch rooms, toilets and wash areas clean?

  Yes

  No

  N/A

• Have site services including gas mains, underground and above ground electricity been identified in the site specific safety plan?

  Yes

  No

  N/A

• Is there evidence of an accident/incident being recorded in the incident register? Do they match those reported to Todd Property each week?

  Yes

  No

  N/A

• Is there evidence that corrective actions from accidents/incident investigations are recorded and all controls closed out at tool box meetings?

  Yes

  No

  N/A

• Are tools and equipment in good condition?

  Yes

  No

  N/A

• Is there good safety signage on site?

  Yes

  No

  N/A

• Site speed limit is posted and followed?

  Yes

  No

  N/A

Comptency

• Is there records of all persons on site being suitably inducted?

  Yes

  No

  N/A

• Is there a training and competency register for the site?

  Yes

  No

  N/A

• Are all personnel wearing the required PPE?

• Is the PPE up-to-date and in good condition?

  Yes

  No

  N/A

Environment

• Sediment and runoff are controlled?

  Yes

  No

  N/A

• Fuel stored correctly?

  Yes

  No

  N/A

• Is a suitable spill kit kept on site?

  Yes

  No

  N/A

• Dust control in place?

  Yes

  No

  N/A

Emergency Equipment

• Is there an emergency plan in place?

  Yes

  No

  N/A

• Was the emergency plan tested in the last 12 months

  Yes

  No

  N/A

• Are there correctly tagged and tested fire extinguisher on-site?

  Yes

  No

  N/A

• Is there a up-to-date and suitable first aid kit on-site?

  Yes

  No

  N/A

• Are the first aiders clearly identifiable, are all their qualifications up-to-date?

  Yes

  No

  N/A

Hazardous Substances

• Are Hazardous Substances being used on site?

  Yes

  No

• Is the hazardous substance register up-to-date?

  Yes

  No

  N/A

• Are the Material Safety Data Sheets maintained and available? Are they less that five years old?

  Yes

  No

  N/A

• Are the hazardous substances stored in a safe and secure manner?

  Yes

  No

  N/A

• Are personnel handling the hazardous substances trained and experience in their use?

  Yes

  No

  N/A

• Has suitable provision been made for extra first aid supplies as required by the MSDS?

  Yes

  No

  N/A

Public Safety

• Are members of the public/pedestrians passing the site?

  Yes

  No

• Are their safe alternative routes around the site for pedestrians and vehicles?

  Yes

  No

  N/A

• Is there visible safety signage on all approached to the work site?

  Yes

  No

  N/A

• Are all pedestrian and public footpaths clear?

  Yes

  No

  N/A

• Are all excavations/holes covered or fenced/ barricaded to restrict access?

  Yes

  No

  N/A

• Has there been any complaints from residents?

  Yes

  No

  N/A

• Have the complaints been addressed and closed out?

  Yes

  No

  N/A

• Select date

  Date

Working at Heights

• Is work being undertaken at heights?

  Yes

  No

• Working at Heights training provided?

  Yes

  No

  N/A

• Are personnel using work platforms on-site?

  Yes

  No

  N/A

• Solid hand rails

  Yes

  No

  N/A

• Correct PPE, including harnesses if required?

  Yes

  No

  N/A

• Lines and Harnesses certified?

  Yes

  No

  N/A

• Safe tag

  Yes

  No

  N/A

• Decking/fencing/ barriers in place?

  Yes

  No

  N/A

• Lines secured correctly

  Yes

  No

  N/A

• Emergency procedures in place and practiced?

  Yes

  No

  N/A

• Have Notifiable Works been notified to Worksafe NZ<br><br><br>

  Yes

  No

  N/A

Electric Equipment

• Is electrical equipment being used on site?

  Yes

  No

• Is the electric equipment inspected and correctly tagged (three months or less)?

  Yes

  No

  N/A

• Is electrical equipment in good condition?

  Yes

  No

  N/A

• Are correct Splitters/RCDs being used for electrical equipment?

  Yes

  No

  N/A

• Where required, are leads off the floor?

  Yes

  No

  N/A

Plant and Machinery

• Is heavy plant and machinery being used on site?

  Yes

  No

• Being operated correctly and safely?

  Yes

  No

  N/A

• ROPS/FOBS/Tops fitted

  Yes

  No

  N/A

• Amber Beacon operating?

  Yes

  No

  N/A

• COF/WOF/ inspection certificate visible and current?

  Yes

  No

  N/A

• Plant in good condition?

  Yes

  No

  N/A

Confined Space Entry

• Is work being undertaken in confined spaces?

  Yes

  No

• Permit to work issued?

  Yes

  No

  N/A

• Tripod and winch being used?

  Yes

  No

  N/A

• Is access to the area restricted?

  Yes

  No

  N/A

• Fan forced air being used?

  Yes

  No

  N/A

• Gas detectors being used?

  Yes

  No

  N/A

• Emergency procedures in place and tested?

  Yes

  No

  N/A

• Breathing apparatus and other PPE being used correctly?

  Yes

  No

  N/A

• Have notifiable works been sent to Worksafe NZ?

  Yes

  No

  N/A

Evacuation and Trenches

• Are excavations and trenches on site?

  Yes

  No

• Is the trench/ evacuation 1.5 metres deep?

  Yes

  No

  N/A

• Have Notifiable Works been sent to Worksafe NZ?

  Yes

  No

  N/A

• Trench shields/shoring ok/ certified?

  Yes

  No

  N/A

• Batters and sides ok?

  Yes

  No

  N/A

• Is access to the site restricted?

  Yes

  No

  N/A

Safety Nets

• Are Safety Nets on site?

  Yes

  No

• Are areas that need safety nets covered?

  Yes

  No

  N/A

• Are the safety nets up to date? ( use iHub scanner to check)

  Yes

  No

  N/A

• Are the safety nets free of rubbish?

  Yes

  No

  N/A

Scaffolding

• Is scaffolding being used on site?

  Yes

  No

• Safe tags in place?

  Yes

  No

  N/A

• Decking in place?

  Yes

  No

  N/A

• Hand rails/Fencing in place?

  Yes

  No

  N/A

• Access ladders and trap doors installed and used/ closed correctly?

  Yes

  No

  N/A

• Kick Boards in place?

  Yes

  No

  N/A

• Ties/Bracing in-place correctly?

  Yes

  No

  N/A

• Foundations in place correctly?

  Yes

  No

  N/A

• Have Notifiable Works been notified to Worksafe NZ

  Yes

  No

  N/A

Traffic Management

• Are vehicles keeping to 10km speed limit?

  Yes

  No

  N/A

• Are there any unnecessary vehicles on Freedom village roads

  Yes

  No

  N/A

• Do vehicles that are in the residential area have there hazard lights on?

  Yes

  No

  N/A

• Are vehicles that are in the residential are coned of or isolated

  Yes

  No

  N/A

• Are areas where the fence has been opened or removed for trades to work been isolated

  Yes

  No

  N/A

If any of the following areas are not being managed appropriately then work at the site should be halted until the area (s) of concern are addressed.

• Site planning and management

  Safe

  At Risk

  N/A

• Competency of workers

  Safe

  At Risk

  N/A

• Plant and equipment

  Safe

  At Risk

  N/A

• Residents, public and pedestrian safety

  Yes

  No

  N/A

• High Risk Activities

  Yes

  No

  N/A

• Were any unsafe practices observed at the time of assessment?

  Yes

  No

  N/A

• Please describe the unsafe practice observed below

Agreement

• Required corrective actions

  Yes

  No

  N/A

• Agreed date for completion of corrective actions.

  Date

• Signature assessor

  Sign

• Company

• Signature site representative

  Sign

• Company

• Select date

  Date